The Ledger

Every statement that passed quotation and attribution checks. Mix any filter with any other: certainty 1/5, debate potential 5/5, or both at once.

clear all ✕

why aren't all 11 resolved? a statement only gets an assessment when the public record can support or contradict it. opinions and what-ifs never can, and 0 checkable ones are still open, waiting for their date. predictions held up or didn't; assertions are supported or contradicted. on every card: ▮▮▮▮▮ certainty · ▮▮▮▮▮ debate potential. speakers are clickable

Opinion
Tandice Urban: US healthcare is the worst customer service industry
“The US healthcare market is the least customer centric of any customer service industry. We are so numb to the pain that we rarely object or complain.”
Tandice Urban Jun 1, 2022 ▶ 3:21 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Assertion Contradicted
Primary care providers have an average Net Promoter Score of 3
“In primary care specifically, the average NPS for a provider is three.”
Tandice Urban Jun 1, 2022 ▶ 5:12 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Assertion Supported
96% of patient complaints are about customer service, not medical care
“96% of patient complaints are about the service itself. Only four percent are about the care delivered.”
Tandice Urban Jun 1, 2022 ▶ 5:20 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Assertion Partly supported
Urban: 40% of top US deaths are preventable with proper care
“40% of annual deaths caused by the top five causes of death in the U.S. Are preventable with good preventive care.”
Tandice Urban Jun 1, 2022 ▶ 7:28 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Assertion Partly supported
Urban: Avoidable chronic disease accounts for 75% of US healthcare spend
“According to the CDC, for whatever that's worth to you, avoidable chronic disease accounts for 75% of our health care spend”
Tandice Urban Jun 1, 2022 ▶ 7:36 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Insight
Urban: Poor lifestyles and processed diets drive rising US healthcare costs
“We're overspending on healthcare because we're spending on things that kill us, and then our healthcare gets very expensive, Because we have terrible, terrible lifestyles, and everyone is drinking way too much across all communities. Everybody is eating totall…”
Tandice Urban Jun 1, 2022 ▶ 16:05 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Insight
Urban: Fee-for-service healthcare incentivizes volume over patient care quality
“Physicians in the traditional fee-for-service model, which is our predominant model today, where physicians are paid per, per patient encounter they're incentivized by volume, and not by quality, and not by good health outcomes, so it's no surprise that practi…”
Tandice Urban Jun 1, 2022 ▶ 4:46 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Assertion Supported
Doctors prescribe more antibiotics in the afternoon due to decision fatigue
“Doctors are far more likely to prescribe antibiotics in the afternoon than they are in the morning for the same patient with the same issues because they're just running late and they're dealing with decision fatigue.”
Tandice Urban Jun 1, 2022 ▶ 6:29 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Assertion Partly supported
Urban: Patients with a primary care doctor spend 33% less overall
“Patients with a PCP, a primary care doctor, spend 33% less on health care overall because they're front-loading that spend toward prevention.”
Tandice Urban Jun 1, 2022 ▶ 7:42 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Disclosure
Tandice Urban: The Lanby cannot yet profitably integrate mental healthcare
“We've thought about this a lot at the Lambie, because we've tried to figure out a way to integrate mental health in a way where we would be able to make money, and we can't just yet.”
Tandice Urban Jun 1, 2022 ▶ 19:17 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
Assertion Supported
US primary care physicians manage an average of 2,300 patients each
“In, in the across the U S one physician has a panel of 2300 patients on average.”
Tandice Urban Jun 1, 2022 ▶ 19:44 #AIS: The Lanby's Tandice Urban on solving healthcare's customer service problem
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